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RELIABLE PEDIATRICS LLC NPI 1649345562


NPI Information

NPI: 1649345562
Provider Name: RELIABLE PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 07D0099964

Address:
140 GRANDVIEW AVE
SUITE 206
WATERBURY, CT
ZIP 06708
Phone: (203) 753-6413
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RELIABLE PEDIATRICS LLC is a pediatrics in Waterbury, CT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. RELIABLE PEDIATRICS LLC NPI is 1649345562. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

140 GRANDVIEW AVE
SUITE 206
WATERBURY, CT
ZIP 06708-505
Phone: (203) 753-6413

The provider's authorized official is Bidarkote Somanath .
The authorized official title is Owner and has the following contact phone number (203) 437-5206.

The CLIA number assigned to this NPI record is 07D0099964 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 2/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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